Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Grace Ebenuwa

Individual provider Obstetrics & Gynecology Nurse Practitioner · NPI 1164629697

Grace Ebenuwa is an Obstetrics & Gynecology Nurse Practitioner in Los Angeles, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007

Practice location Address checks out

12021 Wilmington Ave
Los Angeles, CA 90059-3019
Phone: (310) 668-4506
Fax: (310) 763-8909
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Nurse Practitioner (primary) Taxonomy 363LX0001X · Licence RN401793 (CA)

Record details

NPI number1164629697
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 28, 2007
Last updated in NPPESJuly 8, 2007

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